Tuesday, May 23, 2017

Insurance Commissioner issues bulletin on opioids.

Mississippi Commissioner of Insurance Mike Chaney issued the following bulletin.

Mississippi Insurance Department Issues Bulletin on Opioid Prescriptions

Jackson- The Mississippi Insurance Department has issued Bulletin 2017-4, which strongly encourages all issuers of health insurance products in Mississippi to implement the Centers for Disease Control and Prevention (CDC) Guidelines for Prescribing Opioids for Chronic Pain.

“In the past two decades, Mississippi has seen a marked increase in the use of opioid pain relievers which has consequently resulted in an escalation of opioid dependency, as well as a surge in heroin addiction,” said Commissioner of Insurance Mike Chaney.

“It is our hope that issuing this bulletin will help slow and control the supply of opioids being administered in the state.”

The bulletin seeks to have issuers partner with pain management experts, addiction experts and the issuers’ network providers and pharmacists. Issuers are also encouraged to promptly submit to the Mississippi Insurance Department any necessary form and rate filing changes associated with this implementation.

Insurers are asked to direct any questions regarding this bulletin to the Life and Health Actuarial Division of the Mississippi Insurance Department.


Anonymous said...

If he really wants to help people, He would encourage the legalization of cannabis as an alternative to opioids.

Anonymous said...

One would think that the big pharma would have come out with an array of non-narcotic painkillers by now, but noooo. They share some of the blame in all of this. Name something besides nuerotin or lyrica that you can think of off the top of your head.

Anonymous said...

8:59 - yes please, we need a generation of zombies!

Anonymous said...

Reminds me of Dogbart getting involved in everything under the sun. What does Mike Chaney or the Insurance Department have to do with counseling the populace on opiod use? Gotta keep that name out there I guess and he can't be on Gallo EVERY day.

Next, General Hood will issue a memo on official letterhead alerting soccer moms to check the weather before heading out to the games. So they won't be caught in the rain without an umbrella, of course.

Anonymous said...

Dear May 23, 2017 at 9:25 AM:

Off the top of my head: Neurontin (gabapentin), Lyrica (pregabalin), Cymbalta (duloxetine), any of an array of NSAID's, Tylenol (acetominophen), Toradol (ketorolac), Ultram (tramadol)... shall I continue?

You morons keep wanting to vilify big bad (insert large group) but are not addressing the main issue - the unlawful and intentionally improper use of opioids for recreational gain.

Anonymous said...

At lease this Insurance Commissioner is advocating for something other than OEM car parts and $100/hr labor rates for body shops....which he just so happens to be in the business of.

Anonymous said...

@ 10:15- You seem to be medically inclined in regard to medications. Save NSAID's, I'll accept your list.
How many variations of opioids can you name off the top of your head?
Or rather, exactly how many are there?

Anonymous said...

12:11....At 'lease' WHAT?

Anonymous said...

Dear May 23, 2017 at 1:26 PM:

Technically there are four types: pure mu-receptor agonists (codeine, morphine, etc.); mixed mu-receptor agonists/antagonists (butorphanol); pure mu-receptor antagonists (naloxone, etc.) and those with mu-receptor and other receptor activity (tramadol).

don't know what you got against NSAIDs...perfectly effective pain medication as they address the underlying issue, that is inflammation.

Now what, pray tell, is your problem? Are you going to keep asking silly questions or work, like the insurance commissioner and Attorney General, to curb the illegal use of these medications?

Anonymous said...

Cara Therapeutics

Anonymous said...

@3:14 I use ibuprofen for headaches and all sort of other aches. Great stuff. Absorbine jr. Is great too for muscle aches ( all natural); however, I'm referring to medication the drug companies of this millennium and the 90's have formulated, produced, and patented with FDA approval.

If I were to break my leg 5 minutes from now, what newly developed non-narcotic/non-opiate drug would help with the immediate pain in the E.R? It doesn't seem that there are that many well known "go-to's", if there are any at all.

This cycle of everyday people getting addicted seems to start with a scenario like what I described above. I'm not talking about the common criminal that would steal or forge a prescription medication.

As an aside, I'm not in law enforcement- it's not my job to "help", but I live in reality and realize that this "epidemic" came about because the people that produce narcotic painkillers have not really made much effort to stop the cycle before it stops by producing viable alternatives. You can talk about the neighborhood superstar till the cows come home, but until you acknowledge how things got "this bad" this will be a wasted effort. And that, dear sir or madam, is the bottom line.

Anonymous said...

Maybe the Department of Public Safety can get involved in preventing dangerous situations occurring at travel ball games, and the Gaming Commission can start a public awareness campaign on prostitution. Let's get creative folks!

Anonymous said...

Dear May 23, 2017 at 5:38 PM,

Blaming the drug companies for producing narcotics that result in those becoming addicted or dying is akin to blaming arms manufacturers for producing bullets that got those three young men arrested for murder. It doesn't compute. For quite a while, obtaining aspirin required a prescription. Due to its relative safety profile, it became over the counter. Everybody started indiscriminately using aspirin for their various maladies and, whoa, look at the incidence of gastrointestinal bleeds skyrocket. Don't recall the hue over trying to recall aspirin.

As a medical professional, I feel that if you knowingly and willingly use these medications in a manner inconsistent with their implicit intentions, then I'm all for whatever negative repercussions befall you. At some point, we have to understand that Darwin was right. While it may not be your "job to help" fix this, it is your responsibility to society in general to not facilitate it. And blaming the drug companies for *gasp* creating medicines that help millions upon millions live their life every day just a little bit better, well, that's just not appropriate.

Anonymous said...

You either want a government that regulates your body chemistry or not.

Anonymous said...

There seems to be an over simplification of the addiction.
First of all, not everyone has the same threshold of pain or tolerance for drugs.
Not everyone has the same body chemistry.
I would remind everyone, that dosages for drugs are based on males and it has become clear that females don't react the same way ( Lunesta was a big eye opener). A huge factor in the epidemic is the increased addiction of women.
The assembly line approach to medicine is a factor as doctors don't know their patients or anything about their patients lives anymore. There is an over reliance on testing and medication and no real understanding of the patient as a whole in body and mind.

We are a society that has increased, not decreased stress. We work more hours, not less if we work at all. If there are children, there is the added work of child caring and maintaining the home and family which used to be the responsibility of the mother with the children and extended family to help. And, we over schedule our children. The cost of living increases while wages remain static. 24/7 news affects our sense of security and peace adversely. It produces fear and hopelessness and helplessness.
So, when you can't afford " time off" to get well and you can't afford medical care, you can , initially, afford a pill or shot to keep you going.
There's a lot of " blame" to go around. But, looking at restoring the 9-5 with weekends off and stabilizing families so they raise children in one place as it was in those days we feel nostaligic about, would be a place to start. Encouraging the access and establishment of a " family doctor" who then refers to a specialist rather than continuing with artificial specialties would be good. Once upon a time, our family doctor, put a cast on my broken arm and leg. He gave me antibiotics for ear and throat infections and noticed early when I had a more serious health problem as my skin, hair and eyes didn't look normal so he sent me to a specialist. He did the same sort of thing for my entire family and knew what medical problems were common to my family. He knew our personalities and which of us didn't like to take medicine and which of us were likely to decide if one pill worked, two might work better.

Politics has caused us to simplify everything to the point we can solve nothing because we never get past arguing , and casting blame and never get to identifying and prioritizing the critical factors of any problem.

Anonymous said...

It is obvious to anyone with one grain of intelligence that Big Pharma is crooked. Some would even say akin to organized crime. When a natural remedy can be found for most of what ails us, why do they continue coming up with medicines with all kinds of side affects, serious side affects instead of natural organic remedies which would be much healthier? Because of money, that's why. Same reason cancer has not been eradicated. There is WAY too much money to be lost in that industry to cure any of the dreads. I find any arguments to the contrary to be hilarious in this day and time. Same thing with the racket going on with pain meds. Crooked doctors don't help.

Anonymous said...

Neither the elected State AG nor the elected State Insurance Commish give one flying shit about curbing the use of opiods. They only want their names before the public, hoping for re-election and election to higher public office.

If you think Phil is a national embarrassment, imagine Mike Chaney in that role. At least General Hood is also an official of Hair Clubs of America.

Anonymous said...

8:59 I hope you understand the problem here. It's not the drug...it's the over-prescription and abuse of the drug. My sister lives in Colorado and was just talking about a gummy bear with 16 hits of cannibis available to kids...and they're going to the emergency room in record numbers. There are great uses for cannabis from a medical standpoint, just like some opioids, but unfortunately some doctors and a lot of people (Mississippi probably more than most) will abuse, sell and addict themselves and others with drugs if they can get their hands on them. So they have to be regulated. Mississippi has a population that considers a handicap sticker a "status symbol" and checks as "entitlements". They cheat the system as much as they can. And the taxpayers get the brunt of it.

Anonymous said...

I thought this discussion was about the state insurance commissioner issuing a press release. Before long we'll be talking about Jimmy Swaggart and Tammy Faye Baker's fake tears.

Anonymous said...

7:25 pm, Colorado resident here. We objectively DO NOT have an issue with children accessing or using overly strong cannabis products. It's just not true. But it definitely is a rumor that outsiders love to propagate. Cannabis has been a very successful experiment for those with chronic pain in our state. And it is a very good alternative to heroin profile opioids, which are turning regular folks to the street when they can't get their rx's any longer.

Anonymous said...

Colorado resident here.
7:25 tells it like it is. Legal cannabis has put the street dealers (the ones who would sell to children) out of business. 8:59, your sister is very mis-informed.

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Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).

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In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.

In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS.

Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS